Continuous Education Research Articles

Peri-operative strategy in resuscitation of unstable injured surgical patients: a primer.

Trauma remains a leading cause of death, both for individuals under 40 in North America, and globally, where it contributes to ~10% of deaths annually. Thoughtful, timely, balanced resuscitation, especially in the peri-operative period for unstable injured surgical patients, is vital for optimizing outcomes. The advanced trauma life support protocol plays a pivotal role in early evaluation and management, emphasizing hemorrhage control and resuscitation strategies. This narrative review provides a structured, evidence-based framework aimed at enhancing the educational experience of surgical trainees. It outlines key principles in peri-operative trauma resuscitation, emphasizing timely intervention, goal-directed fluid therapy, and damage control surgery (DCS) to improve patient outcomes. A comprehensive Scale for Quality Assessment of Narrative Review Articles -guideline compliant literature search was conducted using PubMed and Google Scholar for English-language articles published between January 2000 and February 2024. The search included relevant medical subject headings terms. Additional studies were identified from reference lists. Extracted data were reviewed and organized using thematic analysis, focusing on historical perspectives, evidence-based practices, and the concept of DCS. Key findings from the 55 relevant studies selected underscore the importance of balanced fluid and blood product administration, the use of permissive hypotension in hemorrhagic shock, and the application of DCS principles. This review highlights educational strategies that foster a deeper understanding of trauma resuscitation practices, offering practical insights through case studies and technological innovations. This review serves as an educational resource for surgical trainees, equipping them with a robust understanding of evidence-based trauma resuscitation. By integrating historical context, modern practices, and emerging technologies, the review aims to enhance both the theoretical knowledge and practical skills necessary for managing unstable trauma patients. Emphasis is placed on interdisciplinary teamwork, continuous education, and personalized resuscitation strategies to improve clinical outcomes.

The Perspective of Haitian Parents on Heritage Language Maintenance in Children With Speech-Language Disorders

Purpose: This study is part of a larger study that explores the beliefs and attitudes of Haitian parents in the United States regarding heritage language maintenance. The study sought to understand Haitian parents' perspective of heritage language maintenance when the parent has a child with a communication disorder. Method: Semistructured interviews were conducted with seven Haitian parents of children who have or had a speech-language disorder. The interviews were conducted virtually through videoconferencing. A thematic analysis was used to explore the data and determine recurring themes. Results: Participants desired to preserve the heritage language; however, fear of further language delay and sociolinguistic factors influenced their language choice. Furthermore, the results revealed that the lack of Haitian Creole language maintenance led to a communication breakdown with family and parental regret on the missed opportunity to pass on the heritage language. Conclusion: The findings from this study demonstrate a need for continued education with physicians, SLPs, and other related service providers on the issues related to bilingual language development, language maintenance, and counseling families regarding home language practice. Supplemental Material: https://doi.org/10.23641/asha.27190611

Supporting bereaved students: Qualitative insights from Danish college student counselors

This article investigates bereavement support among Danish college students, focusing on the role of student counselors across seven colleges. Twenty-one counselors participated in semi-structured interviews, revealing challenges in identifying and supporting bereaved students while juggling academic priorities. They acknowledge their focus on academics, while often feeling they lack adequate training for broader emotional support. Key themes include counselor roles, identifying bereaved students, and balancing academic and emotional needs. Recommendations highlight the necessity of tailored counselor roles, specialized training in bereavement and communication, and establishing clear support structures. These findings underline a critical gap in college bereavement support and advocate for practical improvements. Enhancing counselor education and support structures could better address the needs of bereaved students, reflecting broader challenges faced by counselors and the importance of continuous education in effectively supporting them.

MAPPING THE LANDSCAPE OF CONTINUING EDUCATION RESEARCH IN ASIA: A BIBLIOMETRIC ANALYSIS OF SCOPUS-INDEXED PUBLICATIONS FROM 1972 TO 2023

Continuing education (CE) plays a crucial role in workforce development and economic growth across Asia, yet the landscape of CE research in the region has not been comprehensively mapped. A comprehensive bibliometric analysis of continuing education (CE) research in Asia from 1972 to 2023 was carried out, utilizing data from the Scopus database to map the evolving landscape of CE research in the region. Findings revealed a significant surge in research output since the late 1990s, with East Asian countries, particularly China, Hong Kong (China), and Taiwan (ROC), emerging as leaders in the field. The analysis uncovers several key patterns: institutional collaborations tend to cluster regionally, there's a noticeable generational gap in researcher’s networks, and the healthcare sector dominates CE research topics. Recent trends indicate a shift towards digital learning approaches and learner-centered methodologies. The study also highlights the need for increased cross-border collaborations and expansion of CE research beyond the healthcare sector. This research contributes to a deeper understanding of CE research trends in Asia and provides insights for future directions in the field. Keywords: Asia, bibliometric analysis, collaboration networks, continuing education, digital learning, healthcare education, lifelong learning, research trends, science mapping, Scopus database

Clinical imaging guidelines: current status and challenges

Background: Advances in medical technology and health insurance coverage policies have significantly promoted radiological examinations in Korea. In 2019, the number of computed tomography examinations performed in Korea was approximately 1.5-times higher than the Organisation for Economic Co-operation and Development average. This surge in radiological examinations has raised concerns regarding inappropriate imaging practices that may lead to unnecessary radiation exposure and increased healthcare cost.Current Concepts: Two fundamental principles guide the radiation safety practices in medicine: Optimization and justification. Optimization, represented by the “As Low As Reasonably Achievable” principle, minimizes the radiation dose while maintaining the diagnostic quality. Justification ensures that the benefits of radiological procedures outweigh their potential risks. Evidence-based clinical imaging guidelines, such as the UK iRefer guidelines and USA American College of Radiology Appropriateness Criteria, have been internationally proposed to implement these principles. In Korea, collaborative efforts between the National Evidence-based Healthcare Collaborating Agency and Korean Society of Radiology have led to the development of Korean evidence-based clinical imaging guidelines.Discussion and Conclusion: Implementation of evidence-based imaging guidelines is crucial to reduce unnecessary radiation exposure and optimize resource utilization. However, various challenges, including the adaptation of the guidelines to individual patient needs and successful integration of rapidly advancing medical technologies, remain. Continuous updates, professional education, and system-wide support are essential to ensure the effective implementation of these guidelines. Future studies should focus on enhancing the precision and applicability of these guidelines in clinical practice to improve the patient safety and healthcare efficiency.

Multimodality imaging of coronary artery dissection: a pictorial essay.

Spontaneous coronary artery dissection (SCAD) is a rare and underdiagnosed entity that can lead to acute coronary syndrome. This condition has a gender predilection, predominantly affecting women, especially those with known risk factors such as pregnancy and the postpartum period. Hormonal changes and hemodynamic stress during these stages significantly contribute to the occurrence of SCAD. Recognizing and understanding this entity, as well as its imaging findings, have a favorable impact on patient prognosis. Accurate diagnosis through imaging techniques such as coronary angiography and computed tomography is crucial for the appropriate management of SCAD, allowing for early and specific interventions that can significantly improve clinical outcomes and reduce associated mortality. Continuous education and awareness about this condition are essential to improve detection rates and effective treatment.

Registered Nurses' Attitudes Towards ChatGPT and Self-Directed Learning: A Cross-Sectional Study.

Self-directed, lifelong learning is essential for nurses' competence in complex healthcare environments, which are characterised by rapid advancements in medicine and technology and nursing shortages. Previous studies have demonstrated that ChatGPT technology fosters self-directed learning by motivating users to engage with it. To explore the relationships amongst socio-demographic data, attitudes towards ChatGPT use, and self-directed learning amongst registered nurses in Taiwan. A cross-sectional study design with an online survey was adopted. Registered nurses from various healthcare settings were recruited through Facebook and LINE, a widely used messaging application in East Asia, reaching over 1000 nurses across five distinct online groups. An online survey was used to collect data, including socio-demographic characteristics, attitudes towards ChatGPT use, and a self-directed learning scale. Data were analysed using descriptive statistical methods, t-tests, Pearson's correlation, one-way analysis of variance, and multiple linear regression analysis. Amongst the 330 participants, 50.6% worked in hospitals, 51.8% had more than 15 years of work experience, and 78.2% did not hold supervisory positions. Of the participants, 46.7% had used ChatGPT. For all nurses, work experience and awareness of ChatGPT statistically significantly predicted self-directed learning, explaining 32.0% of the variance. For those familiar with ChatGPT, work experience in nursing and the technological/social influence of ChatGPT statistically significantly predicted self-directed learning, explaining 35.3% of the variance. Work experience in nursing provides critical opportunities for professional development and training. Therefore, ChatGPT-supported self-directed learning should be customised for degrees of experience to optimise continuous education. This study explores nurses' diverse use of and attitudes towards ChatGPT for self-directed learning. It suggests that administrators customise support and training when incorporating ChatGPT into professional development, accounting for nurses' varied experiences to enhance learning outcomes. No patient or public contribution. This study adhered to the relevant cross-sectional STROBE guidelines.

Interpreting, translating, and embedding school curriculum in physical education teacher education: the need for collective action within and across the teacher education continuum

ABSTRACT Olson, J. K. [1977. “Teacher Education and Curriculum Change: Reexamining the Relationship.” Curriculum Inquiry 7 (1): 61–66]. https://doi.org/10.1080/03626784.1977.11076205. argued how in the wave of curriculum development, the role of teachers, and therefore initial teacher education (ITE), had been neglected and as such, they provided a vision for a revised form of ITE. We contend that almost 50 years on, the ITE community is yet to fulfil this vision for ITE. We explore this argument through the recent wave of physical education curriculum policy development, particularly the introduction of Leaving Certificate Physical Education (LCPE), and the processes of interpretation, translation, and embedding curriculum into ITE. We were guided by the research question: How are physical education teacher educators embedding curriculum into their Physical Education Teacher Education (PETE) programmes to best prepare pre-service teachers (PSTs) to teach such curriculum? Seventeen physical education teacher educators across three ITE institutes were interviewed on the processes of embedding LCPE into their respective programmes. Findings discuss the necessity for PETE programme reconfiguration, the (mis)alignment between PETE and current realities of PSTs, schools, and society, and highlight the need for advocacy and sharing across PETE. This paper advocates for teacher educators to be positioned as policy actors, pedagogical possibilities in PETE, and the need for different stakeholders to work (and learn) together.

CYBERSECURITY AWARENESS

Technology is advancing at a very high speed, becoming more sophisticated and complex. Similarly, due to the vastness of the digital world, cyber threats have also increased in complexity and frequency. The rapid advancement of technology has brought unprecedented conveniences but also significant risks. Therefore, security awareness is essential for every individual and organization. Cyber threats such as phishing attacks, malware attacks, social engineering, Denial of service attacks, and insider threats have become sophisticated, proving to be a challenge to individuals and organizations. This paper evaluates security awareness in the organization with a keen interest in why the program is essential, the components of the program, challenges that might be faced while implementing the program, and what role the organization and employees have to play to ensure the environment is secure. The paper provides a comprehensive analysis highlighting the importance of security awareness in an organization's current sophisticated digital world. Keywords - Security Awareness, Cyber Threats, Phishing, Malware, Social Engineering, Information Security, Cybersecurity Training, Risk Mitigation, and Continuous Education.

Evaluation of an education program upon women's knowledge toward management of Breast Self – Examination(BSE)

To determine the evaluation of education program on women's knowledge regarding managing BSE. The present quasi- experimental study, Non-probability (purposive), sample consisting of (260) women who are employee, and students in both colleges (Nursing college, Medical and Health Techniques College). The sample consist of two groups, study group (130) including those in (Nursing college), and control group (130) in (Medical and Health Techniques College). A questionnaire was constructed which included, Demographic information, Reproductive information, Family history, Previous medical history, and information about women's knowledge toward management of breast self examination (BSE). Instrument validity and reliability was determined. Data were collected through the use of the questionnaire, the application of the educational program a post-test was done for the study only which use the lectures, booklets, training practice of BSE, and video film. Analysis of data was performed through the application of descriptive and inferential statistical data analysis approach. Revealed that the women in the study group had benefited from the implementation of the educational program; their knowledge regarding managing BSE was adequately improved and developed. The study illustrated significant difference between women's knowledge means in pre and post test periods regarding their managing for BSE. Implementation of proposed model of continuous medical education for women for BSE within the scope of their work.

Advances in mass spectrometry for metabolomics: Strategies, challenges, and innovations in disease biomarker discovery.

Mass spectrometry (MS) plays a crucial role in metabolomics, especially in the discovery of disease biomarkers. This review outlines strategies for identifying metabolites, emphasizing precise and detailed use of MS techniques. It explores various methods for quantification, discusses challenges encountered, and examines recent breakthroughs in biomarker discovery. In the field of diagnostics, MS has revolutionized approaches by enabling a deeper understanding of tissue-specific metabolic changes associated with disease. The reliability of results is ensured through robust experimental design and stringent system suitability criteria. In the past, data quality, standardization, and reproducibility were often overlooked despite their significant impact on MS-based metabolomics. Progress in this field heavily depends on continuous training and education. The review also highlights the emergence of innovative MS technologies and methodologies. MS has the potential to transform our understanding of metabolic landscapes, which is crucial for disease biomarker discovery. This article serves as an invaluable resource for researchers in metabolomics, presenting fresh perspectives and advancements that propels the field forward.

Addressing disruptive medical staff behavior: a 3-year experience.

Menezes et al. describe their experience with the diagnosis and management of disruptive medical staff behavior in a private hospital between 2020 and 2022. Surgical medical specialties were found to demonstrate the highest prevalence of such behavior, and continual education of physicians regarding appropriate workplace behavior was found to be the most important management strategy to prevent unsafe work environments and strengthen an appropriate culture of safety. ■ Disruptive medical staff behavior potentially affects patient care. ■ Surgical specialties have the highest incidence of disruptive medical staff behavior. ■ Proper diagnosis and management is key to the mitigating disruptive medical staff behavior. To describe the 3-year long experience of addressing disruptive events by medical staff in a private hospital. The cross-sectional study that was conducted between 2020 and 2022, involved collection, analysis, and management of suspected cases of disruptive behavior by medical staff. Relevant information was collected from reports issued by health care leaders (69%), anonymous reports accessed from the health institution's intranet tool "SINAPSE" (19%), the compliance center (5%), customer attendance service (3.7%), the hospital board (2.3%), and the medical practice department (1%). Surgical specialties were responsible for 70.3% of the disruptive incidents, and the average time to outcome was 24.5 days, with most solutions involving guided education of physicians (92.7%). Management of disruptive behavior by medical staff is essential for the prevention of unsafe work environments and strengthening a culture of safety.

“We Realized That Institutions Are Not Prepared”: Strategies and Challenges in the Filiation Processes of Lesbian-Parent Families in Chile

This study examines the experiences of lesbian-parent families in Chile regarding the civil registry and the registration of their children, highlighting how heteronormative structures persist despite significant legislative advancements. Through semi-structured interviews with lesbian mothers, it explored how the policies and practices occurring at the civil registry affect their rights and legal recognition. The qualitative data analysis revealed significant barriers in the filiation processes due to outdated forms and lack of training among officials, reflecting a disconnect between progressive legislation and its practical implementation. The findings indicate that while there is growing social recognition of family diversity, lesbian-parent families face institutional discrimination, limiting their full participation in society. These barriers not only perpetuate occupational injustices but also negatively affect the emotional and social well-being of these families. This study underscores the need for legislative and administrative reforms to ensure effective inclusion and recognition of lesbian-parent families, recommending policies that update administrative processes to reflect the realities of all families adequately. The research highlights the importance of continuous education and awareness for civil registry workers, ensuring that existing laws are applied fairly and equitably.

THE RELEVANCE OF NURSE TRAINING FOR PERFORMANCE IN THE CENTRAL SUPPLY AND STERILIZATION DEPARTMENT: A narrative review

The present study aimed to highlight the importance of nurse training to ensure the good performance of the team in the Central Supply and Sterilization Department (CSSD). A narrative theoretical review was conducted, with searches in the BVS (Virtual Health Library) and Scielo (Scientific Electronic Library Online) databases. In addition to articles published in the last ten years, current documents and publications from national health organizations that guide the procedures for sterilizing medical-hospital materials were also considered. The flow of health product processing was described; subsequently, the responsibilities and expected skills of the nurse in the department were specified; finally, important aspects of the professional nurse's training for the role in the CSSD were discussed. The consulted works confirmed the relevance of training and continuous education for nurses as a means of ensuring the effectiveness of health product processing and, consequently, patient safety.

12242 Enhancing Continuous Glucose Monitor Utilization In Lower Economic Community Hospital Outpatient Clinics: A Quality Improvement Initiative

Abstract Disclosure: V. Mehta: None. S. Deshpande: None. M. Nieman: None. K. Pereira: None. B. Agrawal: None. S.R. Russell: None. Continuous glucose monitors (CGM) measure the blood glucose level (BGL) and have been used for better glucose control, especially in patients requiring insulin. Primary care physicians (PCP) manage diabetic patients on a large scale in the US, especially in rural settings, and data shows that CGMs are prescribed less in PCP settings than in endocrine clinics. Our study aimed to understand internal medicine (IM) residents' knowledge about CGMs and their application in a community hospital outpatient clinic serving lower-economic populations and demonstrates how a clinical pharmacist (PharmD) led educational intervention successfully increased the adoption of CGMs. A survey was done using a form with multiple-choice questions. 50 residents participated and responded anonymously. Data was analyzed by calculating percentages based on answers, providing understanding of their perspectives on CGMs. 78% knew about and correctly identified CGM. When asked to name indications of CGM, answers varied and included uncontrolled diabetes (34%), insulin-dependent diabetes (34%), elderly and non-compliant patients (14%), any diabetic (12%), and others. Only 14% reported to have had formal training in use and interpretation of CGMs, 70% had prescribed, 34% knew how to apply the device, and 42% knew how to interpret the BGL. More than 95% self-reported having either poor/beginner or fair knowledge about the usage, application, and interpretation, whereas more than 80% professed to need more training to be more confident about prescribing the device. After the survey, our PharmD conducted session demonstrating the indications, types, usage, application, and interpretation of CGM. Following this, an impactful increase in patients who were appropriately prescribed and received CGM was observed. Technologies used in medicine have increased, CGM, being one of them. More than 100 million Americans have prediabetes or diabetes, with more than 10 million using insulin. Hence, access to CGM is crucial for patients for better management. Despite the benefits, many factors play a role in limiting their use, including prescription, cost, insurance coverage, social factors, willingness of the patients, discomfort, and decreased knowledge. Non-compliance, difficulty in application and picking the device from pharmacy was also observed in our clinic. A study by Sherrill et al. on use of CGMs (2014-2020) showed that use of CGM increased almost ten times in 2020 (v/s2014); most patients were younger, employed, and had better insurance coverage.With advances in technology, easier and more efficient devices are available to assess patients' glycemic control. Pharmacists play key role in ensuring continued education among practitioners and trainees. Continued efforts to increase awareness is required to ensure that latest advances are adequately incorporated into graduate medical education. Presentation: 6/3/2024

Violence in contact and custody proceedings-Acase of child endangerment in the family court-Where are efficient child protection measures?

Against the background of 30years of discussion in medicine and law about unfounded accusations and the existence of reasonable suspicion of intra-family violence in contact and custody proceedings, this article emphasises the importance of focusing on child protection by all professionals.Based on acase report in connection with the Federal Ministry of Justice's handout "Dealing with violence in custody and contact proceedings", the article describes the relevance of child protection in Austrian case law and the means by which it is undermined. In the name of science, ideological diagnoses are used instead of evidence-based treatment diagnoses [1]. "Professionals from the healthcare system, youth welfare, justice and education should cooperate in child protection with the aim of recognising, identifying and ending child abuse, maltreatment and/or neglect as such (cf. §3 KKG) [2]."In legal practice, however, practitioners in the psychosocial, psychosomatic and psychotherapeutic fields are often not recognised as witnesses because of the assumption they are influenced by parents or patients themselves. In Austria, the evaluation of evidence is the responsibility of the judge and it is often assumed that practitioners cannot take an objective position towards their patients and their relatives. Specialist medical or psychological experts are therefore of crucial importance. When taking their oath, they have committed themselves to objectivity and impartiality in the recording of findings and orientation towards scientific principles and standards ("state of the art") and their application, as well as to continuous further training and education in the preparation of expert opinions [3].The specific case in question is achild with adiagnosis of post-traumatic stress disorder following suspected sexualised violence, enuresis and enkopresis in connection with the traumatic experiences.The connection between violent situations and child and adolescent psychiatric disorders and the course of the custody and contact proceedings are described. Relevant legal interests such as the will of the child, the best interests of the child, attachment tolerance and protection against violence are addressed and put up for discussion. Topics such as domestic, psychological, sexualised, institutional violence and intimate terror are presented.The case report is an example of how child psychiatrists deal with points relevant to the Federal Ministry of Justice's handbook "Dealing with violence in custody and contact proceedings", which was published in January 2024. It represents aguideline for the area of court proceedings, assessment and treatment.

Educational needs of direct care workers in long-term care facilities providing mealtime assistance to older adults with dementia

BackgroundOlder adults with dementia in long-term care facilities often encounter challenges in self-feeding owing to cognitive and physical impairments. Although direct care workers play a crucial role in facilitating mealtime activities, they lack adequate and specific training. To develop an effective educational training program for this purpose, it is essential to understand the educational needs of direct care workers providing meal assistance. Therefore, this study aimed to identify the educational needs prioritized by direct care workers in long-term care facilities, regarding providing eating assistance to older adults with dementia.MethodsAdopting a mixed-methods approach, this study combined quantitative analysis using Borich’s needs assessment and locus for focus models with qualitative insights from focus group interviews. Participants comprised 174 direct care workers and five nursing managers from various long-term care facilities in South Korea.ResultsThis study identified four main educational priorities: enhancing knowledge regarding swallowing function, understanding institutional support mechanisms, applying multisensory stimulation techniques, and addressing food forgetfulness in older adults with dementia. These findings were aligned with the qualitative data that emphasized the necessity of training in these specific areas to improve the quality of meal assistance provided to this vulnerable population.ConclusionThe findings underscore the critical need for focused educational programs that equip direct care workers with the skills and knowledge necessary to effectively assist older adults with dementia during mealtime. This study advocates the implementation of continuous education and training initiatives led by nursing management to improve the meal assistance environment for older adults with dementia, thereby enhancing their overall care and quality of life.

Melodies of empowerment: exploring the impact of Taylor Swift’s music on lifelong learning in Thailand

PurposeThe purpose of this study is to examine how Taylor Swift’s music influences language acquisition, gender representation, emotional well-being and cultural awareness among Thai university students within the context of lifelong learning. By exploring these dimensions, the study aims to uncover the transformative potential of integrating popular culture, particularly music, into lifelong learning frameworks, thereby offering insights into the role of music in fostering continuous education, cultural sensitivity and personal growth.Design/methodology/approachThis qualitative study employed semi-structured interviews and focus group discussions to explore the impact of Taylor Swift’s music on language acquisition, gender representation, emotional well-being and cultural awareness within the context of lifelong learning. Around 32 university students from six prominent universities in Thailand participated in the study. Thematic analysis was used to identify and interpret the recurring themes related to how Taylor Swift’s music influences these aspects of lifelong learning, providing an in-depth understanding of her music’s role in educational and personal development.FindingsThe study found that Taylor Swift’s music significantly impacts language acquisition by providing an immersive and engaging learning environment. Her music also challenges traditional gender norms, promoting self-expression and empowerment. Additionally, the emotional resonance of her songs contributes to students' emotional well-being, offering solace and encouragement. Furthermore, her advocacy for diversity and inclusivity enhances cultural awareness, fostering empathy and cross-cultural understanding. Overall, Taylor Swift’s music serves as a powerful tool for promoting lifelong learning, cultural awareness and emotional resilience among university students.Research limitations/implicationsThis study primarily focused on Thai university students, which may limit the generalizability of the findings to other cultural contexts. Future research could explore the impact of Taylor Swift’s music on a broader demographic, including different age groups and cultural backgrounds. Additionally, a longitudinal approach could provide deeper insights into how sustained engagement with music influences lifelong learning and personal development over time. The findings underscore the need for further exploration of popular culture’s role in education and its potential to enhance learning outcomes across diverse contexts.Practical implicationsThe findings suggest that integrating popular music, like Taylor Swift’s, into educational curricula can enhance language learning, promote cultural awareness and support emotional well-being. Educators are encouraged to incorporate music-based activities into their teaching strategies to create a more engaging and relatable learning environment. Furthermore, the study highlights the importance of using music as a tool for challenging traditional gender norms and fostering inclusivity, suggesting that educational programs should leverage popular culture to promote social empowerment and personal growth among students.Social implicationsThe study demonstrates that Taylor Swift’s music plays a significant role in promoting social empowerment, gender equality and cultural sensitivity among university students. By challenging traditional norms and advocating for inclusivity, her music encourages listeners to embrace diversity and engage in lifelong learning. The findings suggest that popular culture, particularly music, can be a powerful force for social change, fostering a more inclusive and empathetic society. This underscores the potential of music to contribute to broader social objectives, including gender equality, cultural awareness and emotional resilience.Originality/valueThis study is unique in its comprehensive examination of Taylor Swift’s music as a tool for lifelong learning among university students in Thailand. While previous research has explored music’s role in language acquisition or emotional well-being, this study integrates multiple dimensions – language learning, gender representation, emotional well-being and cultural awareness – within the context of lifelong learning. By focusing on a global pop icon’s influence in a non-Western setting, the research provides valuable insights into the transformative potential of popular culture in education, offering educators innovative strategies to engage students through music.

Challenges and Solutions in the Implementation of the Family Hope Program

The general background family Hope Program (PKH) represents a significant initiative aimed at reducing poverty through conditional cash transfers to very poor households, initiated in 2007. Specific background however, while many countries have adopted similar strategies, the effective implementation of such programs in rural contexts often faces numerous challenges. Knowledge gap This study specifically investigates the implementation of PKH in Gempol Village, addressing the knowledge gap regarding community attitudes and the practical obstacles that impede program success. Aims aim of this research is to analyze the barriers faced by stakeholders and participants in the execution of PKH. Results Findings reveal that successful implementation depends on enhanced coordination among government officials, program coordinators, and beneficiaries, as well as the necessity for ongoing education to ensure participants comprehend the requirements for enrollment in the program.The novelty of this research lies in its focus on financial management skills, which are often overlooked but crucial for effective fund utilization among beneficiaries.The implications of this study underscore the importance of strengthening communication among stakeholders and providing targeted educational interventions, ultimately contributing to the sustainability and effectiveness of the PKH initiative and similar community development programs in rural settings. Highlights: Coordination between stakeholders is crucial for successful program execution. Continuous education is needed for participants to understand requirements. Financial management skills are essential for effective fund utilization. Keywords: Family Hope Program, Implementation, Challenges, Solutions, Community

The role of perceived telemedicine quality in enhancing patient satisfaction during the COVID-19 pandemic: The mediation of telemedicine satisfaction

Adopting telemedicine helped countries manage COVID-19, but it comes with several concerns including how to analyze the degree of patient satisfaction. This research explores the use of healthcare technologies to improve patient satisfaction in the Democratic Republic of Congo (DRC) during the COVID-19 pandemic. This study aims to examine the effect of perceived telemedicine quality on patient satisfaction mediated by telemedicine satisfaction. Data was drawn from 384 responses. Data analysis was conducted utilizing PLS-SEM. The results indicate that perceived telemedicine quality has a direct effect on patient satisfaction and telemedicine satisfaction. Telemedicine satisfaction has a direct effect on patient satisfaction. Also, telemedicine satisfaction was found to have a significant mediation effect between perceived telemedicine quality and patient satisfaction. Overall, using healthcare technologies improved patient satisfaction in the DRC. Implementing educational initiatives to improve patients' and healthcare providers' digital literacy is recommended, particularly in underprivileged and rural regions. This will enable individuals to use healthcare technology, understand its benefits, and navigate the platforms. Additionally, continuous education will ensure that healthcare providers stay informed of the most recent developments and are skilled in applying them for patient care.